| NPI | 1154567238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOE DAJABA Member 313-212-8165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301009017) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2009-01-06 |